STACEY LYNN CHALLE

WACONIA, MN
NPI1912775875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MN  11118)
Enumeration Date2023-12-19
Last Update Date2023-12-19
Business Address
Ms. STACEY LYNN CHALLE AGNP-C
560 S MAPLE ST STE 100
WACONIA, MN 55387-1753
Phone number: 952-442-6006
Mailing Address
Ms. STACEY LYNN CHALLE AGNP-C
560 S MAPLE ST STE 100
WACONIA, MN 55387-1753
Phone number: 952-442-6006